Combined statement and return envelop



R. DORITY, G. E. IJAMS AND H. w. BREINING. COMBINED STATEMENT AND RETURN ENVELOP. APPLICATION FILED DEC. 9. 1920.

1,3 1,670. Patented M r. 15,1921.

Dear sir: 1/5

Below ycu will find a statement if I-he amount due on your account. In emltting please use this self addressed velope without detaching statement.

NATIONAL FIRE INSURANCE CO.

. NEWARK, N.-J.

PREMIUM 0N POLICY 1241034- DWELLING qo |24qo35- GARAGE I6 1 |25%1E- FURNITURE 24 I ,3 I30 I O i /3 MruRiChard Roberta; 9 i 734 King St. Nashville, Tenn. g 1. I j j f INVENTORS 42%. X0 /.a By 8 y ATTORNEY;

UNITED I STA-TEST PATENT OFFICE,

RALPH DOBI'I'Y, OI WASHINGTON, DISTRICT OF COLUMBIA, GEORGE E. IJ'AIS, OF

BALTIMORE, MARYLAND, AND HAROLD 'W. BBEINING, OF WASHINGTON, DIS- IBIC'I O]? COLUMBIA.

conmnn s'rnrmmu'r AND nn'runn manor;

Specification of Letters Patent.

Patented Mar. 15, 1921 Applicationfiled December 9, 1920. Serial No. 429,384.

To all whom it may concern Be it known that we, RALPH DoRrrY,

GEORGE E. IlJAMs, and HAROLD W. BREI- ence being had therein to the accompanying drawings.

- The object of the invention is to provide a combined statement and return envelop through the medium of which the transaction of certain businesses may be greatly facilitated and much annoyance and loss of time avoided.

The failure of persons making remittances to properly identify themselves or to clearly indicate the manner in which said remittances are to be applied leads to many mistakes and involves much annoyance and loss of time upon the part of the persons receiving such remittances. For example:" John Smith, of Fremont, Ohio, may be carrying several fire insurance policies with the National Fire Insurance Compan of New Jersey. After he has remitted or the premiums several years in succession, he feels that he is so well known to the company that it is unnecessary for him to specify how his 7 remittances are to be applied, or to be very careful in identifying himself when making such remittances. Therefore, the insurance company is likely to receive .a money order lumping all of the premiums in one sum and signed by John Smith, of Fremont,

.Ohio, without any identifying matter such as the numbers or the nature of the policies to which the remittances relate. It is manifest that under such circumstances as these the money can be applied only after a careful investigation of its records by the fire insurance company and that the work of making such investigation'will be greatly complicated if the company happens to have other policy holders by the name of John Smith in Fremont, Ohio. The combined statement and envelop of the present invention aims to obviate the, foregoing difiiculties by combining with the usual return, self-addressed envelop sent out bybusiness houses-for the return of remittances, such a statement of the account to which the remittance is to relate that such statement will of necessity be returned with the remittance. The invention goes further and renders such statements detachable from the envelop after its return, so that it may be returned to the sender as a receipt. The invention goes still further and provides for the automatic recordation of a :copy of the statement upon the part of the envelop that is left after the main statement is detached, so that an exact copy of the statement is left in the hands of the per ,son to whom the remittanceis made and the invention goes still further in that it locates this copy of the statement upon a part of the envolop that will receive the mailing stamp in the post oflice, so that a record of the time that the remittance was placed in the mails is always available.

Further objects and advantages of the 'invention will be set forth in the detailed description which follows;

In the accompanying drawing:

Figure 1 is a face viewof an ordinary window envelop of a size to receive the return envelop shown in Fig. 2;

, Fig. 2.is a perspective view of the return envelop looking toward the front side thereof; and

Fig. 3 is a face view of the statement or rear side of said envelop.

In the drawing 5 designates an ordinary window envelop having a sight opening 6 formed therein that is preferably covered with a suitable transparent material 7. The envelop 5 is of a size to receive-the return envelop, said return envelop comprising a front wall 8, a rear wall 9 and a: flap'lO. The flap 10 is adapted to be folded in either direction so that it will cover the wall 9 or the wall 8 as the case may be. The flap 10 is preferably gummed at 11 so that when it is/folded over upon the statement carrylng rear wall 9 it may be caused to adhere to the portions 12 outwardly of the line of perforations 13. These perforations. weaken the rear wall}? along the line indicated so that the statement 14 may be detached as hereinafter set forth. The front wall 8 bears the address indicated at 15 of the orginal sender and the inside face of the rear wall9 is covered with carbon or other transfer material indicated at 16, so that when the statement is imprinted uponthe outer face of the wall 9 a copy thereof will be made upon the inner face of the front .wall 8:

' The address of the party to whom the statement is being sent is written or printed at 17 in such position that when the flap 10 is folded over to cover the front wall 8 and the envelop of Figs. 2 and 3 is placed in the envelop 5, the address 17 will show through the transparent material 7. When the person who is to make the remittance receives the envelop 5 and its contents he opens the envelop 5 inthe usual way and discards the same. He finds at 18 directions for the use of the return envelop and following these directions he places his check,

money order or other remittance in the body portlon' of the return envelop. and seals said envelop by moistening the gummed portion 11 and pasting the same down upon the portion 12 outwardly of the line of perforations l3. After a stamp has been placed upon the front wall 8 at 19, the envelop which is already properly addressed as at 15 isready postmark upon the front wall "8.

the fact that the statement may be separated along the perforated line 13 from the re-- ,mainder of the envelop and receipted and returned to the person making the, remittance by placing the same in another sight envelop 5, the original address 17 again serving its former purpose.

There will then be left in the hands of the person receiving the remittance a copyof the statement (formed by the transfer matance.

terial 16 upon the inner face of the wall 8) 4 and this copy of the statement will bear upon one side a. dated postmark which will establish beyond question the time at which the remittance was madeif, for any reason, that question becomes of impor- Having described our invention, what we claim is:

1. A mailable return and statement envelo comprising in combination a body portlon consisting of a frontwall and a rear wall, the latter bearing a statement form, and a* sealing flap-for the envelop of a shape to conceal the statement form upon said rear wall when the envelop 1s sealed for mailing.

'2. A return and statement envelop comprising in combination a body portion consisting of a front wall bearing a return ad-.

dress, a rear wall bearing a statement form anda flap adapted to be folded to a position to uncover address matter of the statement form upon the rear wall to render the same visible throughthe sight opening of a window envelop and means for securing said flap in position to completely cover the statement form upon said rear wall.

3. A return statement envelop comprising in combination a body portion consisting of a front wall adapted to receive a return address, a rear wall bearing a statement form and having a weakened line to render said major portion separable from the remainder of said wall, and a flap having a gummed portion in position to engage that part of the rear wall which lies outwardly of the said weakened line.

4. .A device as recited in claim .3 in combination with transfer material between the inner face of the rear wall and the rear face of the front wall.

5. A structure as recited in claim 3. wherevided with a transfer surfac I in the inner face of the rear wall is pro- 6. An envelop comprising a body portion consisting of a front and rear wall and a flap of a shape to cover said rear wall, said rear wall having a weakened portion separating the central portion of said wall from the outer portions thereof. J

7 A structure as recited in'claim 6 wherein, said flap is gummed along its portions which abut those portions of the rear wall hic h lie outwardly of the said weakened portion.

8. A mailable return and statement envelop comprising a body portion consisting of a front and rear wall and a sealing flap portion,'one ef said portions bet ring a statement formwhich is cqnc'ealed by said flap,

when. the envelop is sealed for mailin said flap being joldable before the enve up is sealed to a position to'expose address matter of the statement form through the sight openi g of a window e'nvel pp when the -statemeI 1 t and retui'n envelop is placed said sight envelop.

In testimony-whereof we hereunto afiix 1b uni-signatures.

' RALPH DORITY. I

GEORGE'E. ,IJAMS.' HAROLD W. BREINING. 

